When I locomotion into the exigency ward of al-Shifa Hospital, I consciousness similar I americium backmost successful October 2023, erstwhile the shocking fig of wounded and dormant brought successful would overwhelm america each day. I spot regular dozens of children, elderly, women and men rushed into the infirmary with horrific injuries; galore would beryllium missing a limb oregon an eye.
The quality is that backmost successful October 2023, we inactive had aesculapian supplies and substance for electricity, we were afloat staffed, and each of the infirmary wards were inactive functioning.
Today, al-Shifa is but a shadiness of its aged self.
The aesculapian analyzable was repeatedly targeted successful the genocide, and important parts of it were destroyed. With the efforts of infirmary staff, the gathering of the outpatient clinics was restored and turned into the exigency ward; portion of the country section was transformed into intensive attraction for bedridden patients.
Some doctors and nurses returned to work, but by acold not enough. We bash not person the indispensable aesculapian supplies to tackle the changeless inflow of injured patients. Electricity keeps cutting disconnected due to the fact that of substance shortages, and we are forced to usage saltwater for drinking.
The aesculapian unit are exhausted and starved. Earlier this week, I had an 18-hour displacement during which each I had to devour was a azygous tin of tuna.
Amid this horror, forced evacuation is looming implicit the infirmary erstwhile again. We enactment successful a changeless authorities of fearfulness of what comes next.

The ambiance is heavy, and faces are tense. Patients look to us, the aesculapian staff, for reassurance, portion we effort to fell our anxiousness and clasp ourselves together.
It is hard to marque immoderate preparations for departure, fixed that we person received nary wide accusation and nary instructions astir wherever to relocate. We don’t person capable vehicles to transport the ample fig of bedridden patients, immoderate of whom are successful captious condition, breathing connected ventilators, and could dice if moved. We person been fixed nary guarantees that if we were to depart, we would beryllium harmless on the way.
We are inactive trying to marque immoderate basal preparations: aesculapian files are being sorted, and lists of transport priorities are being compiled. But these activities are lone deepening our despair. Nothing is much hard than being forced to leave, not knowing wherever you would spell … oregon how.
Then determination is the question of what happens to the communities we service aft we leave.
Al-Shifa remains a captious lifeline for healthcare successful Gaza and a past edifice for thousands of sick and injured people.
The lone different functioning infirmary successful the country is al-Ahli, but the conditions determination are overmuch worse than successful half-destroyed al-Shifa. I went determination precocious connected a sojourn and saw that determination had been a batch of attacks successful its vicinity; the dependable of bombing was precise loud.
If we are forced to permission al-Shifa, Gaza City volition mostly beryllium deprived of wellness services. This would beryllium a decease condemnation for the radical who take to enactment and are injured oregon different autumn ill. It would extinguish the past vestiges of anticipation radical effort to cling to.
We person already been done this fearfulness erstwhile before. In November 2023, we received orders to evacuate. We stayed, we were besieged, we ran retired of substance and food. The Israelis stormed the infirmary and forced america to permission – hundreds of us, staff, walked to the south.
I did not instrumentality to al-Shifa until past month. When I saw the hard concern wrong the recovered area, my bosom sank. I was not utilized to moving successful specified conditions. What made my enactment adjacent much achy was that I recovered retired that a fig of my colleagues had been killed successful the 20 months we had been apart. At slightest 3 of the pistillate nurses I worked with had been martyred.
As different evacuation looms, I consciousness a substance of fear, anger, and anxiety. This infirmary is not conscionable a workplace, but a refuge and a past edifice for thousands of people. The thought of seeing it emptied of its unit and patients erstwhile again and possibly destroyed wholly is heartbreaking.
Despite each this, we persist. We proceed to dainty the injured, console them, and cling to what remains of our responsibility. We formal wounds nether the airy of our mobile phones, execute operations nether the dependable of bombardment, and woody with decease arsenic a regular adversary.
We beryllium it to our patients, to our people, to show that adjacent successful the look of the worst horrors, we volition support going for arsenic agelong arsenic we can.
The views expressed successful this nonfiction are the author’s ain and bash not needfully bespeak Al Jazeera’s editorial stance.